Denova Collaborative Health

LBN: Denova Collaborative Health, Llc
Denova Collaborative Health is an health care organization with primary practice located at 3330 N 2Nd St Ste 601 , Phoenix AZ 85012-2395. The organization recently has only one registered license in Ambulatory Health Care Facilities / Multi-Specialty, which is considered as the primary health care specialty. Denova Collaborative Health, Llc can be contacted via phone (602) 230-7373, or through Johnson, Graham via phone (602) 230-7373.

Contact Information

Primary practice address
3330 N 2Nd St Ste 601 Phoenix AZ 85012-2395
Phone: (602) 230-7373
Fax: (602) 230-5105
Website:
Map and Directions
Authorized official contact:
Name: Johnson, Graham Master of Arts (MA)
Phone: (602) 230-7373

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Multi-Specialty 261QM1300X

Profile Details

NPI number 1982777462
LBN Legal business name Denova Collaborative Health, Llc
DBA Doing business as Denova Collaborative Health
Authorized official Johnson, Graham Master of Arts (MA)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 15th, 2006
Last updated Sep 7th, 2023 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982777462 NPPES
Arizona MEDICAID 076465

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